Active NPI
Charles Dakota Slate, DPT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1063246023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23097
- Practice address
- 799 Hickory Tree Rd
Winston Salem, NC 27127-9243 - Phone
- (336) 764-4583
- NPI assigned
- Aug 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P23097 | NC | Primary |
Addresses
Primary practice location
799 Hickory Tree Rd
Winston Salem, NC 27127-9243
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1063246023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 HICKORY TREE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271279243",
"telephone_number": "336-764-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATE",
"first_name": "CHARLES",
"middle_name": "DAKOTA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-30",
"last_updated": "2025-09-25",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.